If Peyton Manning Used HGH to Recover From a Broken Neck, Should We Really Care?

It's time to rethink the stigma surrounding this "performance-enhancing drug."


A documentary report released by Al Jazeera last weekend,

Manning face…forever.
Flickr/John Doe

titled "The Dark Side," implicates Denver Broncos quarterback Peyton Manning in a potential reputation-destroying performance enhancing drug (PED) scandal.

The report claims Manning's wife received shipments of human growth hormone (HGH) in 2011, while the presumably squeaky-clean future Hall of Famer and serial pitchman was convalescing from a broken neck.

Manning has vigorously denied the allegations, as have most of the other star athletes alleged to have received PEDs from Charlie Sly, the primary source for the report. Al Jazeera described Sly as a pharmacist, but he appears to have never been more than an intern for the Guyer Clinic, and he has since recanted everything he said in the documentary, where he was recorded on hidden cameras bragging about the services he provided to his superstar athlete clients, in an apparent attempt to recruit new clients. 

A popular player with a savvy media touch, some have suggested Manning is getting the benefit of the doubt far more than has been afforded grumpier and more outwardly arrogant players accused of PED usage, like Barry Bonds or Roger Clemens. But this is nothing new, look at the scorn heaped on the loathed Alex Rodriguez when it was revealed that he was on a list of failed drug tests from 2003 (which were supposed to remain secret and anonymous) and juxtapose that with the sympathy bestowed on the beloved David Ortiz when it was revealed that his name appeared on the same list. Sport might consist of contests of skills and performance, but it is also very much a competition of popularity, and some are better-suited to win at that game than others. 

Manning might be telling the truth or he might be lying through his teeth. If it's the latter, it would hardly be the first time a beloved athlete defiantly wagged a finger while pronouncing his innocence, only to be outed as a fraud.

The question is, when it comes to HGH, should we really even care? Sure, it's banned by almost every sports league, but it also appears to be a miracle of modern medicine that actually aids healing, as opposed to the widely-prescribed painkillers preferred by polite society which only mask the effects of injury and frequently enable even greater long-term suffering.

The moralizing of one drug regimen over another simply makes no sense. Why is it preferable for injured NFL players to be so loaded with Percocet and cortisone that they're "playing numb" rather than engage a newer, less-understood form of medicine that bears no risk of opiate addiction?

Former Reasoner Radley Balko made "The Case for HGH" back in 2008:

The league has banned HGH (on very little evidence), allegedly to protect its players from the harm it allegedly does to their health. But the game of football itself is causing debilitating, potentially life-threatening injuries to players, and we think little of it. These injuries are the entirely predictable result of the slobber-knocking hits that make the game so much fun to watch, both live, and from the six different angles in various highlight packages on SportsCenter.

So we're okay with trusting players to take the risks to their health that come with actually playing football. But we draw the line at letting them use artificial drugs to help them recover more quickly from those injuries. Because that might be dangerous. Or it might benefit players who are using PED's for non-medical purposes.

The World Anti-Doping Agency (WADA) wasted no time in overreacting to "The Dark Side," calling for "increased collaboration with the leagues and their players' associations to discuss appropriate enhancements that could be made in support of clean athletes." But as Tommy Craggs noted in Deadspin back in 2011, the WADA "is an organization of shrieking for-profit hysterics who still talk about banning caffeine."

Craggs added:

Nevertheless, HGH testing has been covered in the press primarily as a matter of union intransigence in the face of the league's supposedly common-sensical wish to rid the game of the PED scourge. But for the million-and-first time, the performance-enhancing properties of HGH are still an open question, and more to the point, an NFL season without PEDs is an NFL season that ends about half-past mini-camp. (Back in August, when the league first announced plans to implement HGH testing, the lads at Pro Football Talk rightly said it was "more about public relations than anything else," then bizarrely added that the NFL "deserves kudos"—as if policy should be graded on its effectiveness as brand management, not on its actual merits…)

More recently at Deadspin, Tim Marchman wrote about former New England Patriots player Rodney Harrison (now a popular broadcaster on NBC) speaking on the air Sunday night about how his use of HGH (for which he was suspended in 2007) helped him heal from a chronic groin injury. But, Harrison added, it was bad, it was a mistake, think of the children!:

I look at my kids and other kids that look up to me and now I have to tell them why I did it. And maybe I can use this opportunity to let them know it's not worth it. Point blank, period. It's just not worth it.

Marchman takes Harrison to task for insulting our (and the children's) intelligence regarding "the delimiters arbitrarily placed around certain kinds of medicines":

By talking about how off-label use of a prescription drug helped him stay healthy and then following on with a solemn non sequitur about what a horrible mistake it was. Harrison was right in line with the usual branding play here. Think Mark McGwire tearfully going on about what a bad idea it was to take drugs that by his account allowed him to stay on the field despite injuries that had him seriously considering retirement. 

One guy with a vested interest in sports performance who's not interested in any pearl-clutching over HGH is Dallas Mavericks owner Mark Cuban. This past Monday, Cuban was asked by the hosts of TMZ Sports if he would approve of legalizing the use of HGH for athletes to recover from injuries. Cuban replied:

Oh yeah, absolutely. I mean, look at it: we say it's ok for people to get LASIK for their eyes. That's performance enhancing. And there's always the chance that something can go wrong. We say that you can get Tommy John surgery, or any surgery for that matter is performance enhancing. Torn ligament? Fix it. Is it better than new? Possibly, with rehabbing it can be better than new. We don't say don't do it because it can be performance enhancing. We say, let's do what's right to get you healthy again.

Cuban is putting his money where his mouth is, dipping into his multi-billion dollar fortune to finance research at the University of Michigan that will test the effects of HGH on healing anterior cruciate ligament (ACL) injuries, which are normally career-enders or at the very least, performance-debilitating. 

ESPN's Bonnie D. Ford writes:

The Michigan study could begin to pull HGH from the shadows if, as the researchers hope, it helps prevent the muscles around the knee joint from weakening to a point of no return. Recombinant (synthetic) HGH is a pharmaceutical hot button, controversially championed by the anti-aging industry and still poorly understood in many ways. Its legal uses are restricted in the United States and many other countries, limiting the drug's commercial potential and discouraging research into possible new therapeutic applications.

The fantastic, funny and informative 2008 documentary Bigger, Stronger, Faster (available to watch in full on Youtube) takes on the puritanical opposition to PEDs, and makes apt comparisons between athletes seeking an edge and world-class symphony musicians taking anti-anxiety medications before an important performance. In a New Yorker podcast debate, Malcolm Gladwell made the case for "complete liberalization and complete transparency" regarding professional athletes' use of PEDs, adding that such information would allow him "to reach my own conclusions as a fan about how to evaluate their performance."

Below you can watch Reason TV's video about disgraced ex-cycling champion Lance Armstrong, perhaps the most reviled PED cheater in all of sports, and why his refusal to make excuses about taking drugs to help his teammates or that he didn't know what he was taking is his truly unforgivable sin.

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    1. In order to avoid a long, thoughtful discussion on notions of the interplay of private and public law for the resolution of contract disputes in a minarchist state, as compared to actual interplay under current alternative dispute resolution law in the United States, I would instead prefer to address the more concrete point you raise.
      No, fuck you.

  1. Should/do I care?


  2. NFL logos on steroids

  3. How about I just write you a prescription for prayers, smiles, and a big ol’ hug?

    1. You’re not licensed to do that. I’m afraid i’ll have to turn you in.

  4. It just struck me that the obsession with natural, unadulterated sports is a throwback to the old amateur/professional class distinction of the turn of the 19th Century that continued to live on in the Olympics. That class distinction was given to us, in part, by the remnant English aristocracy that wanted to delineate between those that played for the pure love and joy of the game (and could only do so because they were rich) and those that played to earn a living (and were poor).

    Ideally I guess I’d like it to be drug free so we could compare players across history but in the end it’s entertainment, and eventually we’ll be genetically engineering athletes anyway so all the historical comparisons become mute.

        1. I think the button on my remote does the wrong thing.

          1. It moots your channel choice?

    1. And now you have Peyton Manning in a media shitstorm about his drug use. Are you not entertained?

      One thing I like about people like Dennis Rodman and Terrell Owens – they know they get paid to put butts in the seats and even if you’re coming just to boo them you’re still buying a ticket. Your job as a professional athlete isn’t just to run or throw or kick the ball, it’s to put butts in the seats.

  5. Doesn’t the NFL have a “legitimate medical use” exception?

    Because using hormones to recover from a broken neck seems, you know… legitimate.

    1. They should if they do not, but the NFL is not known for its logic.

  6. They should come up with a better name than HGH and PED’s – it’s that three-letter acronym that scares people. GMO, AGW, HIV, FBI, CIA, IRS, FoE – you see the pattern?

      1. What’s the difference between an enzyme and a hormone?

        1. I know how to make a hormone?

          1. You don’t pay her?

            1. I just KNEW one of you would make that joke!

              *narrows gaze*

          2. I don’t think that’s moaning, it’s more likely a sigh of disappointment.

    1. They should call it BFD. It will leave people guessing if that’s supposed to be literal or sarcastic.

  7. Re Lance Armstrong’s “refusal to make excuses about taking drugs to help his teammates or that he didn’t know what he was taking is his truly unforgivable sin.”

    I thought it was his bullying and use of the legal system to crush people who told the truth about his drug use that was the unforgivable sin.…..-1.1188512

    1. He’s a grade A asshole, that’s for sure.

      1. I rather thought a libertarian might object to using an arm of state power thusly – but maybe Mr. Fisher still has his Live Strong wristband and shirt held dear?


    2. He didn’t have the balls to admit the truth about his drug use.

      1. Was something done there? Yes, I think it was.

  8. Full Disclosure: I once used Naproxen Sodium to help with inflammation and speed healing of tennis elbow before a shooting competition. While I’m confessing, I also used a physical brace to isolate the tendon. Should USPSA have disqualified me?

    How is this any different?

    1. I confess to frequently using beer, stout and whisky to recover from various Illinois Union and CARFU rugby matches….

    2. What are the rules of the USPSA? Because the rules in the major sports leagues are pretty damn clear and freely agreed to by all parties involved.

      1. I might quibble [a little] with “freely agreed to”, but I get your point. I think my point is not so much, was it a rule violation but rather, does the rule make any kind of sense at all.

        If Peyton did in fact use the hormone, I wish he had done so openly and simply stated that he was doing it to help heal from a major injury. He probably had the star power and public sympathy to pull it off. Alas, he probably didn’t, in our hypothetical, see any reason to take a stand on this issue.

    3. I once used Naproxen Sodium to help with inflammation and speed healing of tennis elbow

      I’m not sure that’s correct. I mean, I’m sure you took it, and it helped with inflammation, but all research points to NSAIDs hindering rather than promoting healing of tendons.

      1. That’s what I get for relying on Doctor Google.

        So if it had no actual healing benefit, then I’m in the clear since pain relievers are A-OK?

        What a world.

  9. Should we care if a player lines up in the neutral zone?

    Its the rules of the game.

    1. Jimmy Smith doesn’t care

    2. Getting caught for lining up in the neutral zone is against the rules. Lining up a little too close and not getting flagged is just gaining a competitive advantage.

      1. I just had a weird vision of an honor culture evolving in professional sports. Like old school. “Sorry, old boy, I was offside. No, I insist.”

        1. “No, no, no. I juggled that catch. Here, this Lombardi trophy and these millions of dollars in product endorsements properly belong to you, chap.”

          1. This conversation sure speaks volumes about our expectations for modern character.

            “The central message of Buddhism is not ‘Every man for himself.'”

            1. “You know your problem? You don’t like winners.”

        2. Ultimate is that way.

      2. Getting caught using hgh is against the rules. Using them and not getting flagged is just gaining a competitive afvantage.

        1. Exactly my point.

          1. Mine too..they are equivalent.

  10. “If Peyton Manning Used HGH to Recover From a Broken Neck, Should We Really Care?”

    The answer is “No, we shouldn’t care”. The reason people care is because if they didn’t care, then they’d have to put Pete Rose in the Hall of Fame–but the fact is that they should put Pete Rose in the Hall of Fame regardless of whether Peyton Manning used HGH, so “No, we shouldn’t care”.

    1. Pete To seven go on the Hall of Fame after he serves his lifetime ban.

    2. I’m going to have to disagree.
      Rules against medical treatment using hormones seem silly and should probably be changed.

      Rules that state, as a professional athlete you cannot bet with professional bookies on sports, really cannot bet on YOUR sport and sure as hell cannot bet on YOUR TEAM make all the sense in the world to me.

      And, as a quick aside, screw Pete Rose. Mister player/manager. He is a total tool in person to boot. I’ve been here in Cincinnati for most of my life and grew up watching the Big Red Machine, but he sucks. This supports my point not at all but thank you for reading me vent. 🙂

      1. Nonsense. You should absolutely be permitted to bet on your own team. It’s betting against them that’s bad.

        1. “Ok, opposing team player, you throw the game and we’ll split the winnings”

          1. Yeah, because that can’t happen now. You might as well say that nobody capable of contacting any player on either side should be allowed to bet on the game because they might be able to convince someone to throw it. It’s not the gambling that’s a problem, it’s the person willing to commit fraud to bilk the bookie out of his potential winnings.

        2. Today I didnt bet on my team, so wont use my best reliever and will rest my stars. Tomorrow I will bet on them and will abuse my bullpen.

          1. Fine, I’m willing to amend it to “there’s nothing wrong with consistently betting on your own team.”

  11. How is HGH under a doctor’s care worse than having the tendons in your elbow/knee surgically relocated??

    1. Because drugs are bad, mmmmmkay?

  12. The question is, when it comes to HGH, should we really even care? Sure, it’s banned by almost every sports league, but it also appears to be a miracle of modern medicine that actually aids healing, as opposed to the widely-prescribed painkillers preferred by polite society which only mask the effects of injury and frequently enable even greater long-term suffering.

    I hate to see alleged liberty-lovers join the dogpile with the progressive, moral-panicking drug warriors.

    1. He’s just pointed out how stupid and hypocritical the rules are.

      1. Except the moral panic about painkillers is reported on this very blog, at times! When it’s convenient!

        No friends of liberty.

  13. the old amateur/professional class distinction of the turn of the 19th Century that continued to live on in the Olympics.

    Exhibit A: Avery Brundage.

    Or, as John Lardner called him, the “Chief Badger”.

  14. PEDs are unsportsmanlike cheats. I mean, before he started using HGH, Peyton Manning was a sickly 98-pound dunce. One scrotal injection later and he became a musclebound adonis with flawless aim, impeccable timing, and split-second tactical judgement.

    1. I’d say that explains Warty, too, but honestly he just enjoys the scrotal injections.

      1. Ha! As if a mere needle could pierce that sac.

        1. That’s why they have to use a specially-designed railgun.

        2. Warty gets his HGH the old fashioned way?by injecting it into other people and then eating them.

          1. …ALIVE.

          2. I larfed – thanks Hugh, I needed that.

    2. …and his girlish voice and overly skinny legs. The man did have the muscle mass to keep his socks up and he sang barbershop quartet!

    3. Did his forehead inflate out like Sammy Sosa and Barry Bonds?!!!!?

      1. That was a pre-existing condition in Manning’s case.

  15. The question is does the NFL consider anything Manning may have so e a violation of its rules? Otherwise,I am not sure I particularly care.

    I expect that Manning Will not be scutinized too carefully. The sports punditacracy tends to use these things to punish athletes who do not submit themselves joyfully to the pundits inanities.

    1. Howard Cosell used a toupee to hide the fact he was bald the same way Joe Buck uses Troy Aikman to hide the fact he’s retarded. Should that be a rules violation?

      1. +1
        …but my Dad was Jack Buck! Pay attention to meeeee!”

      2. Aikman in the booth should be a rules violation.

        1. Though he is better than Phil Simms.

          Why do the Fox and CBS #1 teams have ex players who sound like blithering idiots?

  16. The NFL, and every other sports organization, absolutely does not care if its athletes take HGH, anabolic steroids, amphetamines, IGF-1, or any other PED. In fact, it wants them to. And any player that’s not taking PEDs isn’t really trying to win. You think anyone wants to watch regular jerkoffs do regular jerkoff shit? No, the money is in having superhumans do superhuman feats of athleticism. The only problem is that the public is hypocritical, and Congress is happy to play to the hypocrisy when it wants to make itself look good. So the leagues set up drug testing regimes that are laughably easy to get around, they catch a few low foreheads that are too stupid to take the basic steps they need to take to avoid testing positive, and everyone pats themselves on the back for keeping the game pure, whatever the fuck that means. The whole thing is…undignified.

    1. Case in point:…..s-arrested

      This dude passes the drug tests, but gets arrested for possession. Not very S-M-R-T.

    2. The best example of this is Chris Davis failing a drug test because he took Adderall while letting his exemption expire.

      1. He was a dumbass for letting his exemption expire. He was also a dumbass for not signing the 150 million dollar contract the Orioles apparently offered him.

        1. Yeah, when the big money teams do not need a first baseman let’s turn down a very fair offer. We’ll see if Boras really knows what he is doing.

          1. Boras strikes out every once in a while(see Stephen Drew), but he hits big more often than not.

          2. Boras strikes out every once in a while(see Stephen Drew), but he hits big more often than not.

  17. The whole idea of banning “performance enhancing drugs” is completely unfair anyway.

    If I am training for a running race, then 2 days before the competition I get a cold. I can’t take pseudoephedrine to clear the congestion. So I can’t even get my breathing back to where it normally is.

    Personally, I am into powerlifting (though I have not competed yet). A couple of years ago i was feeling crappy and not making any gains. Had my T levels checked. Testosterone level was ridiculously low. So now I have a prescription and I inject myself every week. My last T test had me in the “normal” range, but lower than I would like. If as a 46 yo man who can bench 405 and squat and dead over 500, shouldn’t my T level be above average? So am I taking “steroids”? Is it “unfair” to use hormone therapy? Shit, there is no real consensus on what normal should be.

    My doctor also got me onto Prozac for seratonin and Vyvanse for norepinephrine. Am I getting an unfair advantage because I take an amphetamine? Or is it putting back on a level playing field?

    1. So am I taking “steroids”?

      You’re injecting yourself with synthetic testosterone, so….yes. Definitionally, you are. Some people think there’s anything wrong with that, for some stupid reason.

      1. I can’t wait until my 37th birthday. I’m gonna get me some roids and my insurance is gonna pay for them.

        1. Drugs are never as much fun if you actually need them though, Pl?ya.

    2. Low testosterone levels are a big issue in the UFC.

      1. That’s a common way to beat the drug tests. You don’t eat for a couple days, you don’t sleep, you purposefully train way too hard, and you get a blood test. Lo and behold, your testosterone levels are low. Nothing a little prescription for TRT won’t fix. Would you like some Anavar?

        1. Would you like some Anavar?

          Do I look like I am in a Gold’s Gym locker room?

          1. To Warty, EVERYONE looks like they’re in a Gold’s Gym locker room.

    3. “can bench 405” at 46?
      Jesus, don’t poke the Bear.

      1. Benching starts to become fun at 405. You draw stares and shit.

        1. I’m suing you people for microaggressing me and making me feel inadequate.

          I can in fact bench 405. It just takes two presses…

      2. Hell, I’m older than that and I can bench 450. He’s just doing it the lazy way by doing it all in one lift, I do it the hard way by spreading it out over 3.

    4. If as a 46 yo man who can bench 405 and squat and dead over 500, shouldn’t my T level be above average?

      Not necessarily. Your body is using what T you have to fuel anabolysis. If you have a higher than average level, that means it’s sitting around in your bloodstream not doing anything.

      1. Right. This shit depends heavily on how many receptors you got from your parents. Bodybuilding is largely a competition of who responds best to anabolic steroids, HGH, insulin, etc.

  18. Does Barry Bonds get a vote?

    1. His giant head gets two votes.

      1. That’s what she said?

  19. Another thing: if Peyton had lifted some goddamn weights and taken some harmless anabolics like a goddamn football player is supposed to, maybe he wouldn’t have snapped his skinny little stick neck in the first place. Stay juiced, kids.

    1. Eli has been sacked a lot. How much longer will he hold up?

      1. God, that’s embarrassing. LOOK LIKE AN ATHLETE

      2. He can barely hold up that tiny bucket!

    2. Yeah, then he could be like Eddie Guerrero, dead.

  20. A popular player with a savvy media touch, some have suggested Manning is getting the benefit of the doubt far more than has been afforded grumpier and more outwardly arrogant players accused of PED usage

    Well, being able to say – “hey, I broke my neck” goes a long way towards quieting those opposed to PED’s. Only the most idiotic of them would come out in public saying ‘sorry you broke your neck – learn to play carefully from now on”.

  21. healing anterior cruciate ligament (ACL) injuries, which are normally career-enders or at the very least, performance-debilitating.

    I had two of these in high school, and I’ve been amazed to see over the years this injury turn from a career ender (in the 70s) to a year-ender (in the 80s) to a if-it-happens-early-enough-and the-team-makes-the-playoffs he’ll-come-back (90s) to a back-in-8-weeks injury (now). It’s pretty amazing what medical science can do when hundreds of millions of dollars are on the line pushing it.

    1. Adrien Peterson’s incredible quick ACL recovery had to have been in part due to HGH, or something like it.

      1. Maybe, but the differences in surgical techniques is huge. My dad tore the ACL in his left knee in 1975. He’s still got a huge scar on that knee and it hurts whenever the weather’s bad or he has to get down on his knees for something. He had two ACL operations on his right knee in the 80’s. That knee never gives him any problems.

        1. Maybe, but the differences in surgical techniques is huge

          I do not dispute that at all. The advanced surgical techniques are amazing, especially compared to even twenty-five years ago. I just assume these guys who make full recoveries very quickly have to be adding some HGH to their recovery.

  22. It’s alleged he had HGH shipped to his house in his wife’s name while he was recovering. It hasn’t been proven but he didn’t deny it either saying his wife’s medical issues are private.

    The two theories for why she would do that are as some sort of fertility treatment which may be snake oil or legit or obviously for Peyton to recover.

    It’s almost universal that people believe it would help Peyton recover. Neither the pregnancy issue or recovery issue are legal by the FDA. While I enjoy a good shit show I was hoping people might realize how stupid the FDA is, but it doesn’t look like they will.

    So basically everyone agrees it can help you heal, it may help with in vitro fertility issues, yet it’s illegal for those reasons and not just for athletes.

    That’s pretty stupid that an organization supposedly who is there to “help” with health outlaws something they know can help recover someone to being healthy.

  23. I get the steroid or HGH ban, if the NFL wants, It’s their business. It’s the FDA ban that is stupid.

    I don’t know what would happen if you just said steroids are okay now. I would imagine some people would completely go overboard and damage themselves. While that’s not a reason to government ban it, I can see why an entertainment industry would. I don’t know why they would want to ban it for legit medical issues though.

    I always wondered why the military didn’t give soldiers a regimen of steroids. They can be done safely, and I don’t see anything but upside for mission readiness when used properly.

    1. Yes, but don’t blame FDA, blame Congress, who amended the FFDCA to put in the specific provision restricting the use of HGH. It’s the only product so treated in the Act.

  24. I have to admit, the medicinal aspect of HGH was something I didn’t know about. I was a little skeptical of the policy before. Now, I’ll say straight out that it’s absolutely immoral.

    How the hell can someone look at themselves in the mirror or sleep with themselves at night knowing they’re telling someone that they can’t take something that can help heal a debilitating injury? Even more, how can they look at themselves knowing they’re forcing people like Harrison to pretend that they have any reason (other than the hell you’ve put them through) to regret doing what was necessary to recover from an injury?

    This is just plain sadism in the name of maintaining a pretense.

  25. I’ve never understood why it’s not over the counter.

    If it works, then it will help a lot of people.

    If it doesn’t, then who cares?

  26. This seems an appropriate thread in which to mention this documentary : Bigger,_Stronger,_Faster*

    Which is about steroid use and was shockingly, shockingly good. And I watch a huge number of documentaries, so it being that good is really quite superlative.

  27. Let them use any drugs they want. Steroids, HGH, you name it. Considering the average career of an NFL player, let them be as good as scientifically possible for the very short time they can play.

    Believe it or not, using these substances is safe and beneficial if you’re not forced to hide it.

  28. Im making over $9k a month working part time. I kept hearing other people tell me how much money they can make online so I decided to look into it. Well, it was all true and has totally changed my life. This is what I do,,,,,,,,,,,,,,


  29. Cheers to Mark Cuban for once again doing the right thing. I wish HGH had been available to me years ago when I tore up my knee. Mark, you’re a class act.

  30. Now it all makes sense. Al Jazeera broke this story and the American media has been working overtime to discredit them…

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